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1350 American Journal of Public Health Why are the significant findings limited to infant mortality and not valid also for life expectancy and years of potential life lost? Could it be that the model followed by the authors is incomplete, or is the effect of different approaches to financing really limited to only certain manifestations of health? What is it about the ways in which services are financed that influences their effectiveness? Prior research suggests that regionalization of prenatal services and appropriate access to neonatal intensive care have a considerable impact on infant mortality.2 It seems reasonable to postulate that services would be more regionally allocated in national health systems than in national health insurance systems because the former is more likely to involve conscious planning for the distribution of resources. Mortality at other ages may not be as sensitive to this aspect of the organization of services. However, it may be that the different mechanisms of financing, as represented by national health systems vs national health insurance systems, are associated with system characteristics which, when explored, would have a more extensive influence on health. To explore this possibility, I contrasted the findings of this study of financing
American Journal of Public Health – American Public Health Association
Published: Oct 1, 1995
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